Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy | Zendy

Yasir Osman | Zendy; Yahia Imam | Zendy; Khaled Salem | Zendy; Hassan Al-Hail | Zendy; Basim M. Uthman | Zendy; Dirk Deleu | Zendy

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Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy

Author(s) -

Yasir Osman,

Yahia Imam,

Khaled Salem,

Hassan Al-Hail,

Basim M. Uthman,

Dirk Deleu

Publication year - 2013

Publication title -

case reports in neurological medicine

Language(s) - English

Resource type - Journals

eISSN - 2090-6668

pISSN - 2090-6676

DOI - 10.1155/2013/540947

Subject(s) - medicine , hypertensive encephalopathy , brainstem , confusion , asymptomatic , edema , magnetic resonance imaging , encephalopathy , posterior reversible encephalopathy syndrome , brain edema , cerebral edema , anesthesia , radiology , blood pressure , psychology , psychoanalysis

Hypertensive encephalopathy typically presents with headache, confusion, and bilateral parietooccipital vasogenic edema. Brainstem edema in hypertensive encephalopathy usually occurs in association with typical supratentorial parieto-occipital changes and is usually asymptomatic. We report here a patient with hypertensive encephalopathy, with isolated brain stem involvement on magnetic resonance imaging (MRI). Rapid treatment of hypertension resulted in clinical and radiological improvement. Prompt recognition of the condition and aggressive treatment of hypertension in such patients is crucial to relieve edema and prevent life-threatening progression.

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